John E. Kramer, D.D.S.
Individual provider Active NPI General Practice Dentistry · Lakeside, CA
NPI 1891709945 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891709945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22084 (CA)
- Practice address
- 9447 Winter Gardens Blvd
Lakeside, CA 92040-4540 - Phone
- (619) 443-3948
- Fax
- (619) 443-3938
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cluff DDS a Professional Dental Corporation | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22084 | CA | Yes |
Addresses
Primary practice location
9447 Winter Gardens Blvd
Lakeside, CA 92040-4540
Mailing address
9447 Winter Gardens Blvd
Lakeside, CA 92040-4540
Phone (619) 443-3948
Other providers in Lakeside, CA
- Omar Johnson
- Robert Johnson
- Cassandra Mary Kauffman
- Vania Knight
- Christian Michael Kondan
- Sarah Kyanza Kyanza
- Lakeside Fire Protection
- Lakeside Union
- Larry J Marshall MD a Professional Corporation
- Penny S Longthorne
All providers in Lakeside, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.